National Provider Identifier
Grant Wilkes Stephenson, M.D.
Grant Wilkes Stephenson, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ripley, NY and a listed phone number of (716) 736-6300.
Profile Overview
- NPI
- 1720055999
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 07, 2006
- Last Updated
- October 25, 2007
Practice Location
- 1 1/2 Goodrich St
- Ripley, NY 14775-9546
Phone: (716) 736-6300
Mailing Address
- PO Box 693
- Ripley, NY 14775-0693
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1720055999
- Entity Type
- Individual
- Last Name
- Stephenson
- First Name
- Grant
- Middle Name
- Wilkes
- Credential
- M.D.
- Mailing Street Address
- PO Box 693
- Mailing City
- Ripley
- Mailing State
- NY
- Mailing ZIP Code
- 14775-0693
- Mailing Country
- US
- Mailing Phone
- (716) 736-6300
- Mailing Fax
- (716) 736-6302
- Practice Street Address
- 1 1/2 Goodrich St
- Practice City
- Ripley
- Practice State
- NY
- Practice ZIP Code
- 14775-9546
- Practice Country
- US
- Practice Phone
- (716) 736-6300
- Practice Fax
- (716) 736-6302
- Enumeration Date
- March 07, 2006
- Last Updated
- October 25, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01041730 (NY)